@layout("/common/_container.html",{js:["/assets/upShop/upShop_add.js"]}){

<div class="layui-body-header">
    <span class="layui-body-header-title">添加</span>
</div>


<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="upShopForm" lay-filter="upShopForm" class="layui-form model-form" style="max-width: 700px;margin: 40px auto;">
                <input name="id" type="hidden"/>

                <div class="layui-form-item">
                    <label class="layui-form-label">申请人<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="userId" name="userId" placeholder="请输入申请人" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>

                <div class="layui-form-item">
                    <label class="layui-form-label">门店名称<span style="color: #000000;">*</span></label>
                    <div class="layui-input-block">
                        <input id="storeName" name="storeName" placeholder="请输入门店名称" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>

                <div class="layui-form-item">
                    <label class="layui-form-label">图片<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="picPath" name="picPath" placeholder="请输入图片" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>

                <div class="layui-form-item pane">
                    <label class="layui-form-label">定位<span
                            style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="mapSelect" name="customerLongitudeLatitude" placeholder="点击进入地图"
                               type="text"
                               class="layui-input"
                               lay-verify="required" required/>
                    </div>
                </div>



                <fieldset class="layui-elem-field layui-field-title">
                    <legend>备注</legend>
                    <div class="layui-field-box">
                        <div class="row">
                            <div class="layui-form-item pane">
                        <textarea id="remark" placeholder="备注" class="layui-textarea fly-editor"
                                  name="remark"></textarea>
                            </div>
                        </div>
                    </div>
                </fieldset>


                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>


            </form>
        </div>
    </div>
</div>

@}